Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $206.25 / $509.03	Facility		$130.72	$206.25	$509.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $138.56 / $218.95	Professional		$126.14	$138.56	$218.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $142.10 / $177.78	Professional		$142.10	$142.10	$177.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $223.94 / $337.50	Facility		$105.00	$223.94	$337.50
Christus Facility/Professional Facility Modifier Low / Median / High Price $298.58 / $298.58 / $298.58	Facility		$298.58	$298.58	$298.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $128.90 / $231.60	Professional		$128.90	$128.90	$231.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $498.89 / $1,382.94 / $1,382.94	Facility		$498.89	$1,382.94	$1,382.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,495.20 / $1,495.20 / $2,173.94	Professional		$1,495.20	$1,495.20	$2,173.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $224.15 / $298.58	Facility		$85.45	$224.15	$298.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $268.72 / $298.58	Professional		$85.45	$268.72	$298.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $179.50 / $298.58	Facility		$85.45	$179.50	$298.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $236.81	Professional		$128.90	$176.58	$236.81
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $159.50 / $189.88	Professional		$110.30	$159.50	$189.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $158.94 / $298.58	Professional		$155.36	$158.94	$298.58